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1417425240
LUKE SAMUEL CLARK
CHARLOTTE, NC
NPI
1417425240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-08529)
Enumeration Date
2018-11-09
Last Update Date
2020-10-26
Business Address
Mr. LUKE SAMUEL CLARK PA-C
200 HAWTHORNE LN
CHARLOTTE, NC 28204-2515
Phone number: 704-384-5600
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Mailing Address
Mr. LUKE SAMUEL CLARK PA-C
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-384-1246
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